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[ARTICLE] What Is the Difference Between High-L Zygoma Reduction and Conventional Zygoma Reduction Surgery?

When considering zygoma reduction surgery, patients may be concerned not only about the width of the face from the front, but also about the prominence of the cheekbones from a 45-degree angle. Since the location and degree of cheekbone prominence, as well as the underlying bone structure, vary from person to person, it is important to carefully assess the facial shape and anatomical structure before surgery. Conventional 3D zygoma reduction surgery is generally performed through an intraoral incision. The main body of the zygomatic bone is osteotomized in an “L” shape and then repositioned inward. The location of the osteotomy and the amount of bone movement are determined according to the patient’s cheekbone shape and degree of prominence. In relation to this, Dr. Kwon Soon Beom, Chief Director of ARC Plastic Surgery, previously presented research on zygoma reduction techniques at the international aesthetic plastic surgery conference, APS KOREA 2025. The “High-L Zygoma Reduction”...
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*Surgery Diary - 11 - "Everything about revision facial contouring surgery"

 [Doctor's Surgery Diary]

- 11 -

"Everything about revision facial contouring surgery"


Let's talk more about revision facial contouring.


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In the first case, the patient visited for a consultation to remove the pin after double jaw surgery.

After CT scans, surgery was planned to improve asymmetry which still remains, and reduce the cheekbone and the length reduction of the chin.


During surgery, all the pins were successfully removed, the cheekbones were reduced to match the proportion, the length of the chin tip was adjusted and the jawline was trimmed as well.



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The second case is a person who visited for a lifting consultation.
The patient had a previous surgical history of the cheekbone, so we took a CT scan to check the bone condition.

All the pins for fixing the cheekbones were broken or out of place. 
On the right side, the patient still felt uncomfortable in the 45-degree cheekbones when eating.


The current condition of the bone was judged to be one of the causes of facial sagging as well as functional problems, so revision cheekbone surgery was performed.


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The last case is where the patient decided on revision surgery since didn't feel much improvement in the side cheekbone, especially on the right side
even if she felt a 45-degree change in the cheekbone area.

On the right side, the 45-degree cheekbones were not sufficiently close attached inwards due to the design of the bone fracture line, which was wider than on the left.
The surgical plan was to partially remove a disturbing bone and re-fixate the cheekbones.


During the surgery, the empty space on the upper part of the cheekbone was large, so I compensated the cut-out bone piece changed to a transplant form.
You can see it in the picture the space is sufficiently filled and the CT results are as follows.


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As you can see, successful surgery requires a harmonious combination of accurate diagnosis, an optimized surgical plan, safe surgery, and meticulous follow-up.


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Location: 대한민국 서울특별시 강남구

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